In Audit
May 17th, 2018
There has been a lot of focus recently on large fraud schemes uncovered by the government and many are wondering how this affects “me.” By Evelyn Kim, MBA, CFE, CPC, CPMA, CRC, AAPC Fellow Healthcare fraud is a thriving enterprise in the United States. The latest statistics from the Centers for Medicare & Medicaid Services ...
But be sure you step up your game on meeting attestation and signature requirements. As an ongoing effort to help reduce administrative burden on practitioners, the Centers for Medicare & Medicaid Services (CMS) released an important update for physicians and other clinicians working in teaching institutions. According to CMS’ E/M Service Documentation Provided by Students ...
In Coding
May 3rd, 2018
Increasing revenue requires communication, follow-through, and compliance. Healthcare insurance (commercial and government) is the main source of income for most providers. But insurance companies have a quirk: If you don’t follow their rules, they won’t pay. Here’s what you need to do to prevent claim edit denials and keep the revenue stream flowing. Know Your ...
Listen carefully and articulate your intentions clearly for better patient care, documentation, and reimbursement. By Lara Heishman, CPC, CEMC, AAPC Fellow Clarity is instrumental to effective communication. Let’s consider what can go wrong when your communication with providers is unclear, and what you can do to be sure your message is heard. When Bad Communication ...
Promote coding specificity and improved quality of care. It’s extremely important to teach patients the difference between true allergic reactions to drugs and anticipated adverse effects to drugs because treatment decisions could be affected. When patients are able to accurately describe their symptoms, physicians are better equipped to improve health outcomes and generate quality data ...